Active NPI
Alice Rose Keck
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1447630553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-3160
- Practice address
- 2741 Indian School Rd NE
Albuquerque, NM 87106-2653 - Phone
- (505) 750-8866
- Fax
- (707) 444-8368
- NPI assigned
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-3160 | NM | Primary |
Addresses
Primary practice location
2741 Indian School Rd NE
Albuquerque, NM 87106-2653
Mailing address
2501 San Pedro Dr NE Ste 203
Arbor Counseling, LLC
Albuquerque, NM 87110-4122
Phone (505) 414-7721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1271 Girard Blvd NE
Albuquerque, NM 87106-1805
Phone (505) 750-8866
1721 Girard Blvd NE
Albuquerque, NM 87106-1805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3160 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albuquerque Guidance Center | Current | Accepting new patients | |
| Arbor Counseling LLC | Past | Accepting new patients |
Locations
2741 Indian School Rd NE
Albuquerque, NM 87106
Phone (505) 255-8682
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1427467547
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1154778686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1447630553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 SAN PEDRO DR NE STE 203",
"address_2": "ARBOR COUNSELING, LLC",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104122",
"telephone_number": "505-414-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 INDIAN SCHOOL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062653",
"telephone_number": "505-750-8866",
"fax_number": "707-444-8368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECK",
"first_name": "ALICE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-3160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.